without prior approval from the Claim Adjuster or the Workers Compensation Administrator.

Transcription

1 The Panel of Physicians and Virginia Law. The following clinics, hospitals, and physicians are the current official Workers' Compensation panel and must be used for treatment in Workers' Compensation Claims. Refusal to use this panel may subject you to paying the full cost of medical treatment. Pursuant to Va. Code , by choosing a physician from this panel, you are choosing a treating physician for your injury or occupational illness. Your treating physician will be responsible for the medical management of your case, including any referrals to specialists for related treatment. Once you have selected your treating physician, you may not change physicians without prior approval from the Claim Adjuster or the Workers Compensation Administrator. Following are descriptions of the process of receiving initial medical care, depending on the type of need: Urgent Care. For your urgent care needs that are not considered life threatening (e.g., a back sprain or broken leg), please select one of the authorized clinics, where you will receive immediate care. The lists of clinics have physicians specializing in occupational injuries. You are only authorized one visit at the urgent care facility, there are exceptions to this rule (such as removal of sutures). The urgent care doctor can not assume care of your condition if additional treatment is required. If you need additional medical services in a specialty area, the clinic physician will refer you to an appropriate specialist from the panel. If a specialty is not listed, please contact your PMA adjuster for further information. For urgent care needs outside of clinic hours, please select a hospital emergency room from the panel. Emergency Care. For any potentially life-threatening injury or situation, please go immediately to the nearest hospital emergency room. Emergency room physicians are not eligible as treating physicians for continuing care. You are only authorized one visit at an emergency care facility, and there are exceptions to this rule (such as admittance to the hospital for a life threatening injury). If the emergency room physician indicates you need additional or continuing care once stable, you must select a treating or specialist physician from the panel. Occupational illnesses and Non-Urgent, Non-Emergency Care. If you have non-urgent care needs or believe you may have an occupational disease, please file your claim with PMA before selecting a physician from the panel in order to receive assistance in selecting the appropriate physician. You may select an appropriate physician directly from the panel without a referral. Medical Care Out of the Local Area. For physicians in outlying or more distant geographic areas, please contact PMA.

2 INITIAL URGENT CARE TREATMENT FACILITIES Inova Urgent Care Center -- Ballston 1005 N. Glebe Rd, Suite 100, Arlington VA Ph: Suite 100 Open: M Fri 8am 8pm Sat, Sun & Holidays 9am-4pm Virginia Hospital Center -- ER 1701 N. George Mason Drive, Arlington VA Ph: Emergency and Hospital Open: 24/7 days a week MidAtlantic Urgent Care -- Clarendon 3301 Wilson Blvd, Arlington VA Ph: Open: M Fri 9am 9pm Sat 9am 6pm; Sun 9 am 5pm Arlington Urgent Care 601 S. Carlin Springs Rd, Arlington VA Ph: Open: 24/7 days a week Inova Urgent Care Center -- Alexandria 4320 Seminary Rd, Alexandria VA Ph: & Hospital Open: M Fri 8am 4pm Hospital: 24/7 days a week Simplicity Urgent Care 3263 Columbia Pike, Arlington VA Ph: Open: M Fri 8am 8pm Sat, Sun 10am - 4pm SPECIALIST / SURGEONS * Authorization or Referral Required

3 Corey Wallach, MD SPINE Neck & Back Anderson Orthopaedic Clinic 2445 Army Navy Drive Arlington, VA Phone: Web: Dhruv v. Pateder, MD Orthopaedic/Neurological Surgeon SPINE Neck & Back Angela M. Santini, MD SPINE-Neck, Back,Extremities Lansdowne Medical Pavilion Deerfield Avenue #175 Leesburg, VA Phone: Web: Louis Levitt, MD General Orthopaedics Back and Extremities Steven Hughes, MD SPINE Neck & Back 8320 Old Courthouse Rd # 100 Vienna, VA Phone: Surgery 2 nd Opinions Arthur Kobrine, MD** Neurosurgery Neck & Back 2440 M. Street, #315 NW Washington, DC Phone: James Tozzi, MD ** Orthopaedic/Neurological Surgeon SPINE Back Only 106 Irving St, South Tower # 215, NW Wash, DC Phone: Marc B. Danziger, MD Mark J. Scheer, MD Shoulder, Knee, Foot, Ankle & Elbow Sports Medicine Steven Neufeld, MD Matthew Buchanan, MD Center 2922 Telestar Court Falls Church, VA Phone: Web: George Kartalian, Jr., MD Barry Saffran, DPM Center for PC 3020 Hamaker Court, # 201 Fairfax, VA Phone: Web: Christopher Annunziata, MD Shoulder Frank Pettrone, MD Knee & Elbow 1635 N. George Mason Dr # 310 Arlington, VA Phone: Jeffrey H. Berg, MD Raymond Thal, MD Thomas B. Fleeter, MD (Hip*) James D. Reeves, MD (Hip*) Hip, Shoulder, Elbow, Knee, & Ankle Sports Medicine & Joint Reconstruction Derek Ochiai, MD (Hip*) Clay Wellborn, MD Robert Nirschl, MD Eric Guidi, MD Hip, Shoulder, Elbow, Knee, & Ankle Sports Medicine & Joint Reconstruction The Nirschl Group 1715 N. George Mason Dr #504 Phone: Web: Stephanie Clop, D.O. Physiatrist Alternative Non-Surgical, Pain Management & Rehabilitation Neck, Back & Extremities Arthur J Deluigi, D.O. Physiatrist NHR Alternative Sports Medicine Pain Management & Rehabilitation Neck, Back & Extremities 102 Irving Street, NW Washington, DC Phone: Web:

4 Noah M. Raizman, MD Hand & Wrist David R. Miller, MD Hand, Wrist, Elbow Sarah Pettrone, MD Hand, Wrist, Elbow 8320 Old Courthouse Rd # 100 Vienna, VA Phone: Also Office in Reston Cassie G. Root, MD Hand, Wrist, Elbow, Forearm The Nirschl Group 1715 N. George Mason Dr #504 Phone: Web: Ramesh Chandra, MD Shoulder, Knee, Ankle, Wrist & Elbow Orhopaedic & Sports Medicine 8230 Boone Blvd # 200 Tysons Corner, VA Phone: , or 131 Elden Street, #15A Herndon, VA Phone: Web: James T. Mayes, III MD J.R. Salameh, MD Hernia Repair/General Surgery Surgical Associates at VHC 1625 N. George Mason Dr. # 334 Phone: FUNCTIONAL CAPACITY EVAL (FCE) & WORK HARDENING/ CONDITIONING PTSMI Alexandria PH: Falls Church PH: Fairfax PH: Herndon PH: Leesburg PH: Web: FUNCTIONAL CAPACITY EVAL (FCE) & WORK HARDENING/ CONDITIONING MEDSTAR NHR *ONLY LOCATION* 102 Irving Street, NW Washington, DC Phone: Stuart Stark, MD Mahan Chehrenama, DO Neuromuscular disorders, Neuropathic Pain & Headaches 8201 Greensboro Dr. # 1003 Mclean, VA Phone: Web: Kenneth W. Berger, MD Allergist N. VA ALLERGY & ASTHMA ASSOCIATION 6305 Castle Place, Suite 1-D Falls Church, VA Phone: Antonio Parente, MD Michael Notarianni, MD Rachel L. Berger, M.D. George W. Bell Timothy P. Farrell, MD Warren S. Levy, MD Cardiovascular 1625 N. George Mason Dr #414 Phone: Robert Shor, MD Cardiovascular 1860 Towncenter Dr. # 120 Phone: Carey Marder, MD 130 Park St., #100 Vienna, VA Phone: Steven M. Zimmet, MD Pulmonary Care 1400 S. Joyce St.,#126 Arlington, VA Phone: Northern VA Pulmonary & Critical Care Associates Pulmonary Care 1715 N. George Mason Dr # 106 Arlington, VA Ph: AND Woodburn Rd. # 350 Annandale, VA Ph: Michael R. Abindin, MD Ear, Nose & Throat 6355 Walker Lane # 308 Alexandria, VA Phone: Zafar Iqbal, MD 1715 N. George Mason Dr #202 Phone:

5 Harry N. Snyder, OD Theodora Vroustouris, OD Eye Care N. VA DRS OF OPTOMETRY Loehmann s Plaza 7263-E Arlington Blvd Falls Church, VA Phone: AND Crystal City Mall Concourse Arlington, VA Phone: Jerome Spechler, DDS Dental Care 3610 Forest Dr. Alexandria, VA Phone: Scott A. McQuiston, DDS 5350 Shawnee Rd # 310 Alexandria, VA Phone: John W. Wires, Ph.D PSYCHOLOGY/PSYCHIATRY 3959 Pender Dr # 320 Fairfax, VA Phone: Ronald E. Smith, Ph.D PSYCHIATRIST 140 Little Falls St. #100 Falls Church, VA Phone: Charles Burt, Ph.D PSYCHOLOGIST 1800 Michael Faraday Dr #206 Phone: Jeffery Jay, Ph.D PSYCHOLOGIST 4601 Connecticut Ave. #5 NW Washington, DC Phone: